Mental Health and Substance Abuse Programs in alphabetical

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DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 30 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2946 BALDWIN AREA MEDICAL CENTER, INC CHRISTOPHER BABBITT 730 - 10TH AVENUE BALDWIN, WI 54002 County: Saint Croix northwestcounseling@healthybaldwin.org Phone: (715) 684-6777 Fax: (715) 684-6776 Surveyor: Polly Wong Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 07/20/2011 07/01/2012 06/30/2014 Mental Health Outpatient Clinic DHS 35 2925 BARRON COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES COMMUNITY SUPPORT PROGRAM JUDY DEMERS 11 E. EAU CLAIRE STREET RICE LAKE, WI 54868 County: Barron david.hensley@co.barron.wi.us Phone: (715) 537-5691 Fax: (715) 537-6848 Surveyor: Bradley Jahr Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 11/01/2010 11/01/2011 10/31/2013 Mental Health-Community Support Program DHS 63 2640 BARRON COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES JUDY DEMERS 330 LASALLE AVENUE, ROOM 338 BARRON, WI 54812 County: Barron david.hensley@co.barron.wi.us Phone: (715) 537-6341 Fax: (715) 537-6848 Surveyor: Polly Wong Services NO BRANCH LOCATIONS 07/01/2012 06/30/2014 Administrative Code Chapter Service Begin/End Dates 01/01/2006 11/01/2011 10/31/2013 CSAS-Outpatient Treatment DHS 75.13 Mental Health-Emergency Service 3 DHS 34.3 NO BRANCH LOCATIONS 11/01/2011 10/31/2013 Administrative Code Chapter Service Begin/End Dates 11/01/2011 10/31/2013 11/01/2011 10/31/2013
DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Print Date: 08/28/2012 Page 31 of 335 Certification Number/ Certified Provider's Main Site/ Email/Telephone 2375 BARRON-WASHBURN COMMUNITY SUPPORT PROGRAM BRADLEY JAHR 330 E LA SALLE AVENUE #338 BARRON, WI 54812 County: Barron bradley.jahr@co.barron.wi.us Phone: (715) 537-5691 Fax: (715) 537-6848 Surveyor: Polly Wong Services Community Substance Abuse and Mental Health Program Certification Directory By Provider Name & Certification Number Initial Certification/ Certification Effective/ Certification Expires 03/26/2002 11/01/2009 10/31/2010 Mental Health-Community Support Program DHS 63 1080 BAY AREA MENTAL HEALTH CENTER BARBARA SNYDER 101 THOMPSON ROAD WASHBURN, WI 54891 County: Bayfield bamhc@centurytel.net Phone: (715) 373-2233 Fax: (715) 373-5530 Surveyor: Bradley Jahr Services STATE OF WISCONSIN Bureau of Health Services PO Box 2969 Madison, WI 53701-2969 Tier/ Branch Begin/ Branch Location(s) End Dates NO BRANCH LOCATIONS Administrative Code Chapter Service Begin/End Dates 12/01/1991 05/01/2011 04/30/2013 Mental Health Outpatient Clinic DHS 35 2871 BAY COUNSELING CLINIC JEANNA GRAHL 50 SOUTH MADISON AVE SUITE 3 STURGEON BAY, WI 54235 County: Door baycounseling@gmail.com Phone: (920) 743-4428 Fax: (920) 743-4681 Surveyor: Frank Bellaire Services 11/01/2009 10/31/2010 BAY AREA MENTAL HEALTH CENTER Tier 1 502 W MAIN ST, ROOM 303 05/01/2011 ASHLAND, WI 54806 04/30/2013 Administrative Code Chapter Service Begin/End Dates 07/01/2009 07/01/2012 06/30/2014 Mental Health Outpatient Clinic DHS 35 NO BRANCH LOCATIONS 05/01/2011 04/30/2013 Administrative Code Chapter Service Begin/End Dates 07/01/2012 06/30/2014
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